NCAG CAMP MEDICAL TEAM APPLICATION
This form is for NURSES, DOCTORS, OR PARAMEDICS who would like to be a part of the camp Medical team for NCAG Camps 2025. As part of the medical team, you will help dispense medication, and provide first aid care. Youth Camp is three weeks this year. Please select the week you can attend. Filling out this form does not guarantee you a spot on the Medical team. We will review your application and contact you.
Name
*
First Name
Last Name
I am a
Doctor
Nurse
Paramedic
Which week of camp would you be interested in attending?
*
Youth Camp Week 1 - June 5th - 9th
Youth Camp Week 2 - June 13th - 17th
Youth Camp Week 3 - June 21st - 25th
Kids Camp Week 1 - July 4th - 7th
Kids Camp Week 2 - July 19th - 23rd
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Name
*
Pastors Name
*
What is your current role in ministry at your local church?
*
Describe Your Personality
*
Submit
Should be Empty: